Changing the Focus to the Whole Patient instead of One Oral Disease: The Concept of Individualized Prevention

Advances in Preventive Medicine
Gerhard Schmalz, Dirk Ziebolz

Abstract

Oral diseases are highly prevalent and a global burden. Accordingly, their prevention appears essential. Recently, different strategies have been developed, mainly focusing on the presence of singular oral diseases or conditions. This article aims to construct a contemporary concept of individualized preventive care in dentistry whereby the focus is switched from viewing oral health in isolation to viewing the patient as a whole. The basis for individualized prevention measures is the case-oriented profile, including the synthesis of risk- and need-oriented parameters. The risk profile comprises different risk factors within the fields of systemic diseases, medications, and lifestyle that inherently pose a potential risk of complications (e.g., infectious endocarditis) and/or oral diseases (e.g., periodontitis). The needs profile includes factors originating from the aspects of oral diseases, dental restorations/appliances, and dental results with a potential risk of pathogenesis (e.g., the de novo development of caries) and/or the potential progression of oral diseases (e.g., an existing caries lesion). Based on these parameters, the general framework and content of prevention measures, as well as the maintenance interval, sho...Continue Reading

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Citations

Oct 3, 2020·Journal of Clinical Medicine·Gerhard Schmalz, Dirk Ziebolz
Oct 13, 2021·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Lisa Howard

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